Navigation Links
Hospital quality indicator may not be linked to patient survival after colon cancer surgery
Date:11/13/2007

n rates and survival after surgery. Although the four hospital groups varied widely in the number of lymph nodes examined, they were equally likely to find node-positive tumors. There were no clinically important differences in the use of adjuvant chemotherapy, either overall (unadjusted rates of 26 percent for the highest hospital quartile vs. 25 percent for the lowest hospital quartile) or within cancer stage subgroups.

Our study raises questions about the importance of examining a large number of lymph nodes in patients with colon cancer, the authors write.

Regarding the finding of no evidence of higher 5-year survival at hospitals with higher lymph node examination rates: Our analyses also suggest a simple explanation for these null findings. Regardless of how many lymph nodes hospitals examined, they tended to find the same number of node-positive ones. As a result, higher hospital lymph node examination rates did not result in greater detection of patients with node-positive tumors or higher rates of adjuvant chemotherapy.

Using lymph node counts as a hospital quality indicator is gaining momentum from stakeholders in the health care community, the researchers write. The number of lymph nodes hospitals examine following colectomy for colon cancer is not associated with staging, use of adjuvant chemotherapy, or patient survival. Efforts by payers and professional organizations to increase node examination rates may have limited value as a public health intervention.

(JAMA. 2007;298(18):2149-2154. Available pre-embargo to the media at www.jamamedia.org)

Editors Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.


Editorial: Lymph Node Counts in Colon Cancer Surgery - Lessons for Users of Quality Indicators

In an accompanying edi
'/>"/>

Contact: Mary Beth Reilly
734-764-2220
JAMA and Archives Journals
Source:Eurekalert

Page: 1 2 3

Related medicine news :

1. New research explores newborn in-hospital weight loss
2. NYC-area 1st: Morgan Stanley Childrens Hospital performs transcatheter pulmonary valve replacement
3. Norwalk virus: Cruise ship illness challenging and costly to hospitals, too
4. Glades General Hospital First in Palm Beach County to Provide On-Site Electronic Birth Registration
5. Billy Graham Home After Hospitalization:
6. Alvarado Hospital Files Countersuit Against Blue Shield
7. UHW Announces: Antelope Valley Hospital Caregivers and Board Vote to Ratify First Union Contract With SEIU UHW-West
8. Texas Supreme Court Rules Against Medicare HMOs in Hospital Reimbursement Fight
9. Annual flu shot cuts need for doctors visits, hospitalization among children
10. REACH Registry Highlights That Patients With Peripheral Arterial Disease (PAD) Suffer High Rates of Heart Attack, Stroke, Hospitalization, and Death
11. R. P. Simmons Family Foundation Pledges $2 Million for New Childrens Hospital of Pittsburgh of UPMC Campus
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/9/2014)... think winning is one of the key determinants that makes ... other mental bonuses ranked near the bottom of 81 determinants ... big fun factors, according to a new study. Despite the ... to the "fun" factor, very little research had been done ... conceptuntil now. , The results of this study might help ...
(Date:7/9/2014)... Australian researchers reveal that sudden, acute episodes of low ... as temperature, humidity, air pressure, wind direction and precipitation. ... a journal of the American College of Rheumatology (ACR), ... increases with higher wind speed or wind gusts, but ... World Health Organization (WHO) nearly everyone experiences low back ...
(Date:7/9/2014)... small increased risk of prostate cancer, and a stronger ... a new study from Harvard School of Public Health ... among men who received regular PSA screening, suggesting the ... diagnostic bias. It is the largest and most comprehensive ... vasectomy and prostate cancer. , The study appears online ...
(Date:7/9/2014)... CHICAGO After Susan Wakulich was told she had an ... lay ahead of her. , "I was devastated," said Wakulich, ... suburbs. "I knew this was a serious diagnosis. Then I ... trial that involved a less invasive procedure. It was something ... is participating in a multi-center U.S. clinical trial to evaluate ...
(Date:7/9/2014)... that captures heretofore hidden ways that cells are regulated, ... makes breast cancer cells more likely to metastasize. , ... in part by blocking two other proteins that are ... two disease processes could have unexpected ties. , ... of Nature , points to the possibility of ...
Breaking Medicine News(10 mins):Health News:Being a good sport ranks as the top 'fun' factor in study of youth sports 2Health News:Being a good sport ranks as the top 'fun' factor in study of youth sports 3Health News:Low back pain? Don't blame the weather 2Health News:Vasectomy may increase risk of aggressive prostate cancer 2Health News:New type of stent could help some brain aneurysm patients 2Health News:Protein pushes breast cancer cells to metastasize 2Health News:Protein pushes breast cancer cells to metastasize 3
... based Serotonin-Plus Weight Loss Centers launches a unique, national weight and ... , ... Burke, Va. (PRWEB) September 10, 2008 -- With ... and uncertainty; stress levels of Americans are skyrocketing. For those that ...
... States is real and getting worse, according to a survey and ... Industry Report. , ... Atlanta, GA (PRWEB) September 10, ... and getting worse, according to a survey and feature article in ...
... Healthcommunities.com, Inc., a privately-owned publisher of ... pediatrichealthchannel.com, a http://www.pediatrichealthchannel.com [website ... caregivers of children from birth to ... children,s health issues. The website contains ...
... 6th Annual California Workers, Comp Forum, October 29-31, 2008 in Huntington ... together over 500 of California,s workers, comp professionals for 3 days ... ... Huntington Beach, CA (PRWEB) September 10, 2008 -- Council on Education ...
... fewer smokers, MINNEAPOLIS, Sept. 10 Findings ... today, show that Minnesota,is making significant progress in ... Minnesota(SM), Blue Cross and Blue Shield of,Minnesota and ... Minnesota,s,adult smoking rate has declined to a new ...
... other stores typically attract insured and uninsured patients who ... illnesses or preventive care and do not otherwise have ... RAND Corporation study. , "These clinics appear to attract ... health care system," said lead author Dr. Ateev Mehrotra, ...
Cached Medicine News:Health News:Are You A Stress Eater? Revolutionary Program Reduces Overall Stress and Stress Eating Tendencies 2Health News:Are You A Stress Eater? Revolutionary Program Reduces Overall Stress and Stress Eating Tendencies 3Health News:Addressing the Physician Shortage--Who's Doing What? 2Health News:Addressing the Physician Shortage--Who's Doing What? 3Health News:Addressing the Physician Shortage--Who's Doing What? 4Health News:Addressing the Physician Shortage--Who's Doing What? 5Health News:Addressing the Physician Shortage--Who's Doing What? 6Health News:Pediatrichealthchannel.com - New Site for Parents Seeking Answers to Children's Health Questions 2Health News:Pediatrichealthchannel.com - New Site for Parents Seeking Answers to Children's Health Questions 3Health News:Council on Education in Management Announces Insurance Commissioner Steve Poizner Will Present Keynote Address at the 6th Annual California Workers' Comp Forum 2Health News:Smoking Rate Falls Dramatically Among Minnesotans 2Health News:Smoking Rate Falls Dramatically Among Minnesotans 3Health News:Smoking Rate Falls Dramatically Among Minnesotans 4Health News:Retail medical clinics attract patients who do not have regular health care providers 2
(Date:1/15/2014)... , Jan. 15, 2014  Manufacturers, suppliers and distributors ... able to protect their most important business assets, ... ) Because of the highly-competitive ... remains one of the most litigious industry sectors ...
(Date:1/15/2014)... , Jan. 15, 2014 MultiCell Technologies, Inc. ... a U.S. provisional patent application concerning composition of matter, ... achieve targeted tumor cell death.  This ... noncoding double stranded RNA molecules (VSRNAs) which interfere with ...
(Date:1/15/2014)... TORONTO , Jan. 15, 2014  According to ... medical technology market intelligence, the United ... occlusion (TEO) device markets will expand moderately through ... fastest-growing segments. In particular, increasing interest in drug-eluting ...
Breaking Medicine Technology:Intellectual Property Insurance for Medical-related Products and Services 2MultiCell Technologies Files Patent Application Covering New Class of RNA Therapeutics 2MultiCell Technologies Files Patent Application Covering New Class of RNA Therapeutics 3US and European Transcatheter Embolization and Occlusion Device Market to Surpass $1.6 Billion by 2022 2US and European Transcatheter Embolization and Occlusion Device Market to Surpass $1.6 Billion by 2022 3
Non-Illuminated Trial Lens Set is an attractive set of trial lenses worked to a high standard of accuracy....
Trial Lens Sets....
... disc test (P/N LD15C) include a durable ... instructions. P/N LD15C also includes a Plexiglas ... covers for the test subjects fingers ( ... color discs). Beware that these finger cots ...
Opti-Free Express multi-purpose disinfecting solution lasting comfort No Rub formula provides triple action protection for your contact lenses....
Medicine Products: